Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $363.08	Professional		$112.20	$112.20	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $204.17	Facility		$107.15	$112.20	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26